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ENZYMES Biological catalysts which speed up the rate of reaction without becoming part of the reaction but themselves cannot initiate any chemical reaction.

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Presentation on theme: "ENZYMES Biological catalysts which speed up the rate of reaction without becoming part of the reaction but themselves cannot initiate any chemical reaction."— Presentation transcript:

1 ENZYMES Biological catalysts which speed up the rate of reaction without becoming part of the reaction but themselves cannot initiate any chemical reaction Enzymes : First name is of substrate second, ending in “ASE” indicating type of reaction catalyzed Clarify the reaction , e.g. L- Malate + NAD  Pyruvate + NADH-H + CO2 Malate NAD oxidoreductase (Decarboxylating) IUB Classification and Numbering Six major classes and 4-13 subclasses Numbering

2 ENZYMES Nomenclature Oxidoreductases Enzymes acting on CH-OH group
Alcohol NAD oxidoreductase [Alcohol dehydrogenase] Alcohol + NAD= Aldehyde or Ketone + NADH.H Glucose+ ATP =Glucose-6 phosphate + ADP ATP.D.Hexose – 6 Phosphotransferase (Hexokinase)

3 CO-FACTORS OF ENZYMES ENZYMES CO FACTORS Catalase Peroxidase
Cytochrome oxidase Iron Fe2+ or Fe3+ Copper : Cu+2 Carbonic anhydrase alcohol dehydrogenase Zinc : Zn2+ Hexokinase Glucose-6-phosphatase Pyruvate kinase Magnesium Mg2+ Arginase Manganese Mn2+ Potassium K+ Urease Nickel N 2+ Glutathione Peroxidase Selenium : Se

4 COENZYMES Heat stable, low molecular weight organic compounds non-covalently linked with enzymes & can be separated. APO + CO = Holoenzyme If covalently linked to apoenzymes = prosthetic group Act as intermediate or ultimate acceptor in group transfer enzyme catalyzed reactions D-G + A A-G + D Enzyme Co-Enzyme D A Co-En-G

5 COENZYMES CO ENZYMES FOR TRANSFER OF H+
COENZYMES FOR TRANSFER OF OTHER GROUPS NAD, NADP SUGAR PHOSPHATES FMN, FAD THIAMINE PYROPHOSPHATE TPP, PYRIDOXAL PHOSPHATE LIPOIC ACID FOLATE AND COBAMIDE (VIT B12), BIOTIN COENZYME, Q

6 CO-ENZYMES REDUCTION OF NAD+ TO NADH.H+
Lactic acid + NAD Pyruvic acid + NADH-H+ Malic acid + NAD Oxalo acetic acid NADH -H+ Glucose-6-phosphate + NADP 6-Phosphoglucon olactone +NADPH-H+ REDUCTION OF FAD OR FMN TO FADH2 OR FMNH2 FMN is co enzyme for Cytochrome C oxidase, L.Amino acid dehydrogenase FAD is co-enzyme for xanthene oxidase, acyl-CoA dehydrogenase LDH Malic dehydrogenase G-6-P.D

7 CO-ENZYMES Thiamine Pyrophosphate:
Co-enzyme for oxidative decarboxylation for ketoacids Pyruvate Acetyl CoA Pyruvate +TPP Acetalaldehyde -TPP complex+Co2 Alpha ketogluterate+6 CoA-SH Succinyl CoA + Co2 Ribose-5 Po4 + Xylulose-5-Po Sedoheptulose 7-Po phosphoglyceraldehyde CoA NAD NADH-H+ Pyruvate dehydrogenase Pyruvate decarboxylase -ketogluteratedehydrogenase NAD NADH-H+ Transketolase

8 CO-ENZYMES Biotin Part of multiunit enzymes causing carboxylation reactions. Acts as carrier of CO2 Acetyl CoA+HCo3 + ATP Malonyl-CoA Pyruvate+ HCo3 + ATP Oxaloacetate+ ADP+Pi NH4 + HCo3 + 2ATP CarbamoylPO ADP+ 2 Pi Synthesis of Purines and Pyrimidines Acetylcarboxylase Enz-Biotin-COO-  Enz-Biotin Pyruvate carboxylase .Biotin Carbamoyl Po4.Synthetase - Biotin

9 CO-ENZYMES Ascorbic acid (Vitamin C) Strong reducing agent
Required for hydroxylation of proline into hydroxyproline for synthesis of collagen Conversion of tyrosine into dopamine and into catecholamines (adrenaline and noradrenalin) Bile acid formation Conversion of cholesterol into 7-hydroxylcholesterol Maintain metallic co-factors like Cu+ in Monooxygenases and Fe in dioxygenases in reduced form Conversion of cholesterol into steroid hormone in adrenal cortex Absorption of iron by reducing into reduced form which is can be easily absorbed Acts as antioxidant in GIT by preventing formation of nitrosamines during digestion

10 CO-ENZYMES Folic acid Vitamin B12
Active form is tetrahydrofolate which acts as single carbon carrier for synthesis of various compounds like pyrimidines and purines e.g. conversion of dUMP (deoxyuridylate) into dTMP (deoxythymidylate) Vitamin B12 Acts as co-enzyme in groups rearrangements in isomerases e.g. conversion of methyl malonyl CoA into succinyl-CoA by enzyme methylmalonyl-CoA mutase Converts homocystein into methionine Act as maturation factor for RBCs

11 CLASSIFICATION OF ENZYMES
Formulated by the enzyme commission of I.U.B six major classes & 4-13 subclasses of each major class, based on the type of reactions catalyzed. Oxidoreductases Catalyzing oxidation reduction reactions Transferases Catalyzing group transfer Hydrolases Catalyzing hydrolytic breakdown

12 CLASSIFICATION OF ENZYMES
4. Lyases Catalyzing removal of groups by mechanism other than hydrolysis and leaving behind double bonds or adding groups to already existing double bonds. 5. Isomerases Catalyzing interconversion of isomers 6. Ligases Catalyzing formation of bonds and new compounds 1.Oxidoreductases Catalyzing oxidation reduction reaction where one substrate is oxidized and other is reduced

13 CLASSIFICATION OF ENZYMES (OXIDOREDUCTASES)
Oxidases. Catalyzing oxidation of the substrate and atomic oxygen acts as recipient of hydrogen e.g. Ascorbic acid oxidase, Cytochrome oxidase, Tyrosinase ½ O2 H2 O Ascorbic acid Oxidase Ascorbic acid Dehydro ascorbic acid

14 CLASSIFICATION OF ENZYMES (OXIDOREDUCTASES)
Aerobic Dehydrogenases. Catalyzing oxidation of the substrate and molecular oxygen acts as recipients of hydrogen e.g. Glucose oxidase, L amino acid dehydrogenase, Xanthene dehydrogenase O2 H2 O2 glucose Oxidase Glucose Gluconolactone

15 CLASSIFICATION OF ENZYMES (OXIDOREDUCTASES)
Anaerobic Dehydrogenases. Catalyzing oxidation of the substrate and coenzymes act as recipients of hydrogen e.g. Lactate Dehydrogenase with NAD and Glucose 6 phosphate dehydrogenase with NADP Lactate dehydrogenase Lactic acid Pyruvic acid + NAD NADH – H+

16 CLASSIFICATION OF ENZYMES (OXIDOREDUCTASES)
Oxygenases . Catalyzing oxidation of the substrate and oxygen is added to the substrate eg are Homogentisate oxygenase, L Tryptophan dioxygenase Phenylalanine Hydroxylase Phenylalanine Tyrosine NADPH – H+ + O2 NADP + H2O

17 TRANSFERASES Transaminases. Catalyzing transfer of amino group between an amino acid and a ketoacid e.g. Aspartate Transaminase (AST), Alanine Transaminase (ALT) Aspartate Transaminase (AST) Glutamic acid  Ketoglutaric acid + Oxalo acetic acid Aspartic acid Alanine Transaminase (ALT) Glutamic acid  ketoglutaric acid + Pyruvic acid Alanine

18 TRANSFERASES Transmethylases. Catalyzing transfer of methyl group between to substrates e.g. COMT Catechol O Methyltransferase (COMT) Noradrenaline Adrenaline + CH3 Transpeptidases. Catalyzing transfer of amino acids to substrates e.g. Benzyl-SCoA transpeptidase Benzyl-SCoA Transpeptidase Benzyl - SCoA Hippuric acid + Glycine

19 TRANSFERASES Phosphotransferases. Catalyzing transfer of phosphate group to substrates e.g. Hexokinase, Glucokinase ATP D hexose- 6 Phosphotransferase [Hexokinase] ATP + Glucose Hexokinase ADP + D-Glucose –6-P Acetyltransferase. Catalyzing transfer of acetyl group to substrates e.g. Choline Acetyltransferase Acetyl-CoA+ Choline  CoA + Acetyl- Choline

20 HYDROLASES Enzymes hydrolyzing Carbohydrates
Catalyzing hydrolytic breakdown of different bonds. Most of the GIT enzymes belong to this class Enzymes hydrolyzing Carbohydrates Polysaccharidases Starch Amylase Maltose, Maltotrios, Dextrins Oligosaccharidases Dextrins Dextrinase Glucose Disacharidases Maltose, Lactose, Sucrose Disacharidases (Maltase, Lactase, Sucrase) Monosaccharides Enzymes Hydrolysing Lipids Triacyl glycerol Lipase Monoacyl glycerol + 2 F.F.A Cholesterol ester Cholesterol Free Cholesterol + FFA Esterase

21 HYDROLASES Enzymes Acting on Peptide Bonds
Phospholipids Phospholipase Lysophospholipids Lecithin Lysolecithin Enzymes Acting on Peptide Bonds Exopeptidases Carboxypeptidase Amino acids Aminopeptidase Endopeptidase e.g. Pepsin Smaller Peptides

22 HYDROLASES Tripeptidase : Tripeptide  A.A
Dipeptidase : Dipeptide  AA Phosphatases i. Phosphomonoesterases: Glucose – 6.P. + H2O G 6. Phosphate Glucose +Pi Phosphatase ii. Phosphodiesterases: Removal of phosphate Group of diesters breakdown of 3’-5’ p linkages in cyclic AMP

23 LYASES Catalyzing reactions in which groups are removed without hydrolysis leaving a double bond or add groups to already existing double bonds CH3. CO. COOH Pyruvate CH3. CHO+ CO2 (Acetaldehyde) (Pyruvate) Decarboxylase T.P.P COOH.CH = CH. COOH Fumerase COOH-CHOH. CH2-COOH (Malic Acid) (Fumaric acid)

24 ISOMERASES Involved in inter conversion of pair of isomeric compounds
Glucose 6. P Phosphogluco glucose I.P Mutase Glucose 6.P Phosphohexose Fructose 6.P Isomerase All trans retinene Retinene 11- CIS retinene UDP glucose UDPG-4 UDP – Galactose Epimerase

25 LIGASES Catalyze reactions in which linking together of two molecules occur coupled with the breakdown of a high energy phosphate bonds like ATP, GTP Acetate + CoA +ATP Acetyl CoA Acetyl CoA+AMP+PP Synthetase Succinate + CoA + ATP Succinyl CoA Succinyl CoA + ADP+ Pi Pyruvate + CO2 + ATP Pyruvate Oxaloacetate + ADP + Pi Carboxylase Fatty acid + CoA + ATP Acyl CoA Acyl CoA (Activated fatty acid) + AMP + PiPi

26 MECHANISM OF ACTION S+E E-S P D-G + A Enzyme (Enzyme – G) A-G + D
Factors affecting enzyme activity Enzyme concentration Substrate concentration Temperature pH Enzyme inhibitors

27 MICHEALIS – MENTON EQUATION
Vi = V max [S] Km + {S} Vi = Measured initial velocity V max = Maximum velocity S = Substrate Km = Michaelis constant Variations A. When (S) is much less than Km Vi = V max [S] OR V max [S] K [S] Km + {S} Km So Vi depends upon substrate concentration

28 ENZYME KINETICS When substrate concentration is much greater than Km
Vi = Vmax [S] or Vi = Vmax [S] Km + [S] [S] Or Vmax = Vi When substrate concentration is equal to Km Vi = Vmax [S] or Vi = Vmax [S] Km + [S] [S] + [S] Or Vi = Vmax [S] or Vi = Vmax 2 [S] So Vi = half of maximum velocity

29 Enzyme Catalysis Catalysis by Proximity : Higher conc of “S” will increase their proximity to each other thereby promoting enhanced binding to enzyme resulting in increased catalysis Acid-Base Catalysis : Ionizable functional gps of aminoacyl side chains & prosthetic gps can act as acids or bases. In “specific acid or base catalysis” rate of reaction is sensitive to changes in protons , but is independent of conc of other acids or bases present in the solution or at active site. In “general acid or base catalysis” reaction rates are sensitive to all acids & bases present .

30 Enzyme Catalysis Catalysis by Strain : Binding of Enzyme to substrates whose covalent bond are to be cleaved in an unfavorable configuration thereby exerting strain on the bonds ,stretching or distorting bonds. Covalent Catalysis: Formation of transient covalent bond between enzyme & substrate(s) makes it more reactant & introduces a new faster pathway of catalysis with much lowered energy of activation. On completion of reaction, enzyme returns to its original state. Cysteine, serine or histidine residues on enzyme participate in covalent catalysis

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33 ENZYME INHIBITION Competitive inhibition Non competitive inhibition
Irreversible inhibition Inhibitors resemble substrate, Km is increased no change in Vmax Succinate Enz Fumarate Malonate (structural analog of Succinate ) Enz – inhibition no product Drug Allopurinol, structural analog of Xanthene is used for treatment of gout /hyperuricemia as it is a competitive inhibitor of enzyme Xanthene oxidase which normally converts Xanthene into Uric acid Addition of excess of normal [S] will reverse this inhibition

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35 ENZYME INHIBITION NON COMPETITIVE INHIBITION
Inhibitor binds on separate site on enzyme therefore no competition with substrate. Vmax is reduced and no change in Km Inhibitor can bind with either free enzyme or enzyme – substrate complex and in both cases render these inactive Lead poisoning is an example of this inhibition and it inhibits enzyme Ferrochelatase which adds iron molecule to the centre of porphyrin ring in the synthesis of Hemoglobin

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37 IRREVERSIBLE INHIBITION
Permanent covalent linkage with enzyme rendering it irreversibly inhibited Diisopropyl phospho fluoride (DIPF) Iodoacetamide Heavy metal [Ag+ Hg+2], Silver, Mercury Oxidizing agents Covalent linkage with enzyme: inactivation of enzyme Kinetics are same as of non competitive inhibition, therefore difficult to distinguish between the two Examples are insecticides which act as enzyme poisons for the insects & disinfectants used for micro-organisms

38 REGULATION OF ENZYME ACTIVITY
3 main mechanism in regulation A. Rate of synthesis and degradation determine enzyme quantity synthesis Amino acids Enzyme Degradation

39 REGULATION OF ENZYME ACTIVITY
B. INDUCTION OF ENZYME SYNTHESIS In bacteria  glucose  no Beta galactosidase lactose  induction of B-galactosidase In animals  Enzymes of Urea Cycle  HMG CoA reductase in Cholesterol synthesis  Sucrase or invertase for Sucrose

40 REGULATION OF ENZYME ACTIVITY
C. REPRESSION OF ENZYME SYNTHESIS In bacteria  glucose  repression of B- Galactosidase S typhimurium  Histidine  Repression of enzyme for histidine : product feed back repression HMG CoA Reductase: Induction or stimulation of synthesis = fed state or insulin effect Repression of synthesis = fasting or starvation Hormone sensitive Lipoprotein lipase : Induction or stimulation =adrenalin, cortisol, fasting, stress Repression = insulin, fed state

41 ALLOSTERIC REGULATION
Low molecular wt allosteric effectors structurally not similar to substrate E1 E E3 A  B  C  D Bind at sites other than active site leading to feed back inhibition Usually product or last small molecule before macromolecules in biosynthesis

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44 PROENZYMES π Chymotrypsin
Inactive enzymes initially secreted as large molecules, active site not exposed Pepsinogen HCl Pepsin Prochyomotrypsin Proteolysis Chymotrypsin 1 245 Trypsinogen Trypsin Enteropeptidase π Chymotrypsin 7 245 Trypsin active form Chymotrypsin active

45 PROENZYMES Required for control of catalytic activity of enzymes so that catalytic activities only occur when required Pancreatic enzymes if all the time active  auto digestion of pancreas Blood clot lysis enzymes only active when blood clot is formed

46 Examples of Pro enzymes
 Pepsinogen Trypsinogen Profibrolysin

47 ISOENZYMES Physically distinct forms or protomers of an oligmeric enzyme which can occur in different tissues of same organs, in different cell types, or in sub cellular compartments catalyzing same reaction. these can be separated by electrophoresis.  Lactate dehydrogenase on electrophoresis gives 5 different bands and has 4 protomers

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49 CREATININE KINASE (CK): 3 ISOENZYMES
BB OCCURS IN BRAIN,SMOOTH MUSCLES of GIT AND URINARY TRACT CK2 MB MYOCARDIUM (35 %), SK MUSCLE (5%)  IN ACUTE MI CK3 MM OCCURS IN SK MUSCLES  IN MUSCLE DYSTROPHIES

50 LACTATE DEHYDROGENASE: 5 ISOENZYMES
LDH 1 HHHH Occurs in myocardium(aerobic tissues ) in Acute Myocardial Infarction LDH 2 HHHM  In Acute Leukemia LDH 3 HHMM LDH 4 HMMM Occurs in muscle and liver (anaerobic tissues) LDH 5 MMMM Occurs in muscle and liver (anaerobic tissues)  in Liver Diseases

51 CLINICAL ENZYMOLOGY CLASSIFICATION OF ENZYMES IN BLOOD
PLASMA SPECIFIC ENZYMES: PROCOAGULANTS, FIBRINOALYTIC ENZYMES SECRETED ENZYMES: LIPASE, -AMYLASE, ACID PHOSPHATASE TRUE CELLULAR ENZYMES: LDH, ALT, AST, ALP

52 CLINICAL ENZYMOLOGY STUDY OF PLASMA ENZYME LEVELS IN THE DIAGNOSIS OF VARIOUS DISEASES PLASMA ENZYME LEVEL DEPENDS ON RATE OF RELEASE FROM DAMAGED CELL EXTENT OF CELL DAMAGE IN THE ABSENCE OF CELL DAMAGE, IT DEPENDS ON RATE OF CELL PROLIFERATION DEGREE OF INDUCTION OF ENZYME SYNTHESIS RATE OF ENZYME CLEARANCE FROM CIRCULATION

53 CLINICAL ENZYMOLOGY PHYSIOLOGICAL FACTORS/VARIATIONS
PLASMA AST IS INCREASED IN NEONATES ALKALINE PHOSPHATASE IS INCREASED IN CHILDREN AND IN LAST TRIMESTER OF PREGNANCY TRANSAMINASES AND CREATINE KINASE INCREASED AFTER LABOUR

54 CLINICAL ENZYMOLOGY MYOCARDIAL DISEASES
CREATINE PHOSPHOKINASE(CK,CPK) PRESENT IN HEART, SKELETAL MUSCLES NORMAL LEVEL TOTAL: LESS THAN 195 U/L MODERATE INCREASE MUSCLE INJURY AFTER EXERTION AFTER SURGERY

55 CLINICAL ENZYMOLOGY MYOCARDIAL DISEASES
SIGNIFICANT INCREASE MYOCARDIAL INFARCTION 4-8 HRS AFTER THE ATTACK PEAK HRS NORMALIZES WITHIN 3-5 DAYS(IF NO FRESH ATTACK HAS OCCURRED) CIRCULATORY FAILURE MUSCLE DYSTROPHIES

56 CLINICAL ENZYMOLOGY MYOCARDIAL DISEASES
LACTATE DEHYDROGENASE (LDH,LD) PRESENT IN HEART SKELETAL MUSCLE, LIVER AND KIDNEYS NORMAL SERUM LEVEL U/L MODERATE INCREASE VIRAL HEPATITIS SKELETAL MUSCLE DISEASE MALIGNANCY OF ANY TISSUE SIGNIFICANT INCREASE MYOCARDIAL INFARCTION 24-48 HRS AFTER THE ATTACK PEAK = 2-3 DAYS NORMALIZES 7-12 DAYS(IF NO FRESH ATTACK HAS OCCURRED)

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59 CLINICAL ENZYMOLOGY TRANSAMINASES NORMAL LEVELS AST (U/L) ALT(U/L)
MALES YRS: LESS THAN LESS THAN 45 OVER 60 YRS: FEMALES: PREGNANCY 3RD TRIMESTER:

60 CLINICAL ENZYMOLOGY ASPARTATE TRANSAMINASE (AST OR SGOT)
PRESENT IN HEART, LIVER, MUSCLES, KIDNEYS, RBCs, MITOCHONDRIAL AND CYTOSOLIC ENZYME MODERATE INCREASE CIRRHOSIS OF LIVER SKELETAL MUSCLE DISEASE AFTER TRAUMA OR SURGERY SIGNIFICANT INCREASE MYOCARDIAL INFARCTION 8-12 HRS AFTER THE ATTACK PEAK = 24 HRS NORMALIZES 5-6 DAYS

61 CLINICAL ENZYMOLOGY LIVER DISEASES
ALANINE TRANSAMINASE (ALT OR SGPT) PRESENT IN LIVER, SKELETAL MUSCLE, KIDNEYS & HEART, CYTOSOLIC ENZYME MODERATE INCREASE CIRRHOSIS OF LIVER LIVER CONGESTION CONGESTIVE CARDIAC FAILURE JAUNDICE CIRCULATORY FAILURE SIGNIFICANT INCREASE ACUTE VIRAL OR TOXIC HEPATITIS

62 CLINICAL ENZYMOLOGY LIVER DISEASES
ALKALINE PHOSPHATASE (ALP) PRESENT IN BONE, HEPATOBILIARY, INTESTINAL TRACT, RENAL TUBULES & PLACENTA NORMAL SERUM LEVELS MALES: U/L FEMALES: U/L

63 CLINICAL ENZYMOLOGY LIVER DISEASES
ALKALINE PHOSPHATASE (ALP) SIGNIFICANT INCREASE BONE DISEASES LIKE OSTEOMALACIA, RICKETS, PAGET’S OSTEOGENIC CARCINOMA & SECONDARY DEPOSITS IN BONE. LIVER DISEASES LIKE CHOLESTATIC JAUNDICE, TUMOR OR DRUG INTOXICATION TUMOR: BONE OR LIVER, DIRECT OR SECONDARY DEPOSITS

64 CLINICAL ENZYMOLOGY LIVER DISEASES
ALKALINE PHOSPHATASE (ALP) SIGNIFICANT INCREASE BONE DISEASES LIKE OSTEOMALACIA, RICKETS, PAGET’S OSTEOGENIC CARCINOMA & SECONDARY DEPOSITS IN BONE. LIVER DISEASES LIKE CHOLESTATIC JAUNDICE, TUMOR OR DRUG INTOXICATION TUMOR: BONE OR LIVER, DIRECT OR SECONDARY DEPOSITS

65 CLINICAL ENZYMOLOGY LIVER DISEASES
GAMA GLUTAMYL TRANSFERASE (γGT) PRESENT IN LIVER, KIDNEYS, PANCREAS AND PROSTATE NORMAL SERUM LEVELS: MALES U/L FEMALES < 25 U/L SIGNIFICANT INCREASE INDUCTION BY ALCOHALS AND DRUGS LIKE PHENOBARBITONE CHRONIC ALCOHALIC HEPATITIS CHOLESTATIC LIVER DISEASE

66 CLINICAL ENZYMOLOGY LIVER DISEASES
CHOLENESTERASE PRESENT IN NERVOUS TISSUE AND RBCs. AND IN LIVER NORMAL SERUM LEVEL U/L SIGNIFICANT DECREASE ORGANOPHOSPHORUS INSECTISIDE PIOSONING LIVER DISEASE

67 CLINICAL ENZYMOLOGY AMYLASE MODERATE INCREASE SIGNIFICANT INCREASE
PRESENT IN SALIVA AND PANCREATIC JUICE. MAY BE EXTRACTED FROM GONADS, SKELETAL MUSCLES AND ADIPOSE TISSUE NORMAL SERUM LEVEL 28 –100 U/L MODERATE INCREASE ACTUE CHOLECYSTITIS INTESTINAL OBSTRUCTION MUMPS SALIVARY CALCULI ABDOMINAL TRAUMA SIGNIFICANT INCREASE ACUTE PANCREATITIS PERFORATED PEPTIC ULCER

68 CLINICAL ENZYMOLOGY ACID PHOSPHATASE (ACP) MODERATE INCREASE
PRESENT IN PROSTATE LIVER, R.B.C. PLATELETS NORMAL SERUM LEVEL UPTO 4 U/L MODERATE INCREASE AFTER RECTAL EXAMINATION AFTER PASSAGE OF CATHETER SIGNIFICANT INCREASE CARCINOMA OF PROSTATE BONE DISEASE LIKE PAGET’S DISEASE

69 CLINICAL ENZYMOLOGY ISOCITRIC DEHYDROGENASE LEUCINE AMINOPOLYPEPTIDASE
LIVER AND CEREBRAL TUMORS, MENINGITIS LEUCINE AMINOPOLYPEPTIDASE HEPATOBILIARY AND PANCREATIC DISEASE 5, NUCLEOTIDASE OBSTRUCTIVE JAUNDICE GLUTATHIONE REDUCTASE HEPATITIS AND MALIGNANCY ALDOLASE PSEUDOHYPERTROPHIC MUSCULAR DYSTROPHIES

70 CLINICAL APPLICATIONS OF ENZYMES
PROTEASES, RNASES ARE USED IN DEBRIDEMENT OF WOUNDS STREPTOKINASE USED FOR CLEARING BLOOD CLOTS AFTER ACUTE MYOCARDIAL INFARCTION & IN LOWER EXTREMITIES. IT ACTIVATES PLASMINOGEN INTO PLASMIN, A SERINE PROTEASE THAT CLEAVES FIBRIN IN BLOOD CLOTS INTO SEVERAL SMALLER SOLUBLE COMPONENTS.

71 CLINICAL APPLICATIONS OF ENZYMES
t-PA( HUMAN TISSUE PLASMINOGEN ACTIVATOR) COMERCIALLY PRODUCED FROM ‘E.coli’ IS USED IN DISSOLVING BLOOD CLOTS IN ACUTE MI BY ACTIVATING PLASMINOGEN INTO PLASMIN.


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